Ryan S Dreikorn (NPI# 1932462611, PAC ID# 9032360458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1932462611 |
| PAC ID by PECOS | 9032360458 |
| Professional Enrollment ID | I20121113000236 |
| Full Name | Ryan S Dreikorn |
| Organization Legal Name | PIEDMONT TRIAD ANESTHESIA, PA |
| Address |
654 Wishbone Farm Rd Kernersville NC 27284-7947 |
| Phone Number | 3365644000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8426020025 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511321 | ST JOSEPH'S HOSPITAL |
| 140040 | GALESBURG COTTAGE HOSPITAL |
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 Hockman Pike, Bluefield, VA 24605-1300 | 2763222223 | CLINICAL COLLEAGUES INC |
| 500 Cherry St, Bluefield, WV 24701-3306 | 3043271100 | CLINICAL COLLEAGUES INC |
| 695 N Kellogg St, Galesburg, IL 61401-2807 | 3093438131 | CLINICAL COLLEAGUES INC |
| 654 Wishbone Farm Rd, Kernersville, NC 27284-7947 | 3365644000 | PIEDMONT TRIAD ANESTHESIA, PA |
| 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 8047655000 | CLINICAL COLLEAGUES INC |
| Organization Legal Name | PIEDMONT TRIAD ANESTHESIA, PA |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noelle Annette Desimone | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Carie S Nunley | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Adair Q Locke | Anesthesiology | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Connie S Freeman | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Holly C Pegram | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Jessica S Rose | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Marcus A Helms | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Mary K Leavery | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Tammy V Phinney | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Benjamin J Boehnlein | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Street Address |
654 WISHBONE FARM RD |
| City | KERNERSVILLE |
| State | NC |
| Zip | 27284-7947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Kelly | Family Medicine | 420 W Mountain St, Kernersville, NC 27284-2534 | |
| Matthew C Mcintyre | Chiropractic | 432 A W Mountain St, Kernersville, NC 27284-2534 | |
| Joann Marie Governale | Clinical Social Worker | 110 Hepler St, Suite B, Kernersville, NC 27284-2793 | |
| Darian J Smith | Chiropractic | 127 N Main St, Kernersville, NC 27284-2815 | |
| Darian L Smith | Chiropractic | 127 N Main St, Kernersville, NC 27284-2815 | |
| Adam D Meylor | Chiropractic | 205 N Cherry St, Kernersville, NC 27284-2825 | |
| Tiffany S Gibson | Nurse Practitioner | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Shauna Jarrett | Nurse Practitioner | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Alexei Radiontchenko | Family Medicine | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Bilal Muzaffar | Rheumatology | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Find all physicians in zip 27284 | |||
| City | KERNERSVILLE |
| Zip Code | 27284 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | KERNERSVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.